Rowasa or Canasa?

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Veteran Member

Date Joined May 2006
Total Posts : 619
   Posted 10/20/2008 6:27 PM (GMT -6)   
I have prescriptions for both. My GI said the Rowasa was more effective, but it's SUCH a production and I can't always keep it in. Just tried a Canasa this afternoon (picked up the med today after another Rowasa failure last night) and it was just so much easier.

I am trying to decide if 100% compliance on the Canasa would be better than the hit or miss of Rowasa. Is it better to use a more effective medication when you can't always use it effectively or go with something that is supposedly less effective but you can use 100% of the time correctly?

My colon is healed and I am trying to get the rest of my gut into compliance. Last c-scope showed I just have the rectum and a little above to clear up and I am in remission.

46 yr old female, dx'd UC April 27, 2006; mild arthritis in lower back, dx'd May 2008; Osteopenia dx'd 6/08
10 Remicade infusions: 7/21/07; 8/18/07; 10/13/07; 12/15/97; 1/26/08; 3/8/08; 4/19/08; 5/24/08; 7/5/08; 8/15/08, 9/26/08; Current meds & supplements: Lialda, 4 tabs in the morning; Xanax as needed (rarely); Tylenol Arthritis Formula or Tramadol as needed for arthritis pain; Rowesa; multivitamin w/folate; Culturelle; Fish oil capsules, calcium chews and/or Tums; Vitamin D;
Past meds: Prednisone 4/06-4/08; Entocourt EC; Asacol; Colazal; Venofer (iron) injections Dec '07; Imuran (extremely bad reaction 2/07); Protonix; Lexipro

Regular Member

Date Joined Jan 2008
Total Posts : 362
   Posted 10/20/2008 9:10 PM (GMT -6)   
I sure would like to read any replies to this question myself.

Old Hat
Veteran Member

Date Joined Feb 2007
Total Posts : 5190
   Posted 10/20/2008 10:18 PM (GMT -6)   
Try using the Canasa for a week then see if you can retain the Rowasa. Canasa should calm your rectum, making the liquid enema easier to hold in. Rowasa can reach the sigmoid colon, right above the rectum-- where you also have inflammation, according to your scope report. That means you need both meds to solve your problem. You can trust my advice on medicating these areas because the sigmoid is usually my biggest flare section, with irritated "neighbors" above & below it. / Old Hat (nearly 30 yrs with left-sided UC ... [etc.])

Elite Member

Date Joined May 2003
Total Posts : 30984
   Posted 10/20/2008 11:31 PM (GMT -6)   
You could consider to use the Canasa during the day and the Rowasa during the night.

Another option...stack the Canasa...put in one, insert another..will get it a bit higher.

If you can't retain the Rowasa at all...consider a steroid foam for the night and the Canasa during the day.

*Heather* Status..Asacol 6 (3 twice daily); enemas every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol (dicyclomine) 20mg as needed
~Probiotic 4(Natural Factors Protec) bedtime + Primadophilus Reuteri Pearls occasionally
~multi-digestive enzymes as needed
~Ranitidine,Pariet (reflux);  Effexor XR 75mg(depression);  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!

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